Korean J Thorac Cardiovasc Surg.
2018 Apr;51(2):130-132. 10.5090/kjtcs.2018.51.2.130.
Management of Coronary Sinus Ostial Atresia during a Staged Operation of a Functional Single Ventricle
- Affiliations
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- 1Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea.
- 2Division of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Korea.
- 3Division of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Korea.
- 4Department of Thoracic and Cardiovascular Surgery, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Korea. jjparkmdkr@gmail.com
- KMID: 2409697
- DOI: http://doi.org/10.5090/kjtcs.2018.51.2.130
Abstract
- Coronary sinus ostial atresia (CSOA) with persistent left superior vena cava (LSVC) in the absence of an unroofed coronary sinus is a benign and rare anomaly that may be taken lightly in most instances. However, if overlooked in patients undergoing univentricular heart repair such as bidirectional Glenn or Fontan-type surgery, fatal surgical outcomes may occur due to coronary venous drainage failure. We report a case of CSOA with a persistent LSVC that was managed through coronary sinus rerouting during a total cavopulmonary connection, and provide a review of the literature regarding this rare anomaly.
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